When you have the Original Medicare, you will find it does not provide 100% coverage. You will be required to pay deductibles, co-pays, and co-insurance. While Medicare pays for a lot of health care services, there are still many costs it does not cover. Medigap Plans were designed to help pay the costs that Medicare does not cover such as deductibles, copays, and coinsurance.
What is a Medigap?
Medigap is health care insurance provided by private insurance companies to cover the gaps in Original Medicare. When you have a bill from a health care provider, Medicare will pay part of the bill and your Medigap plan will pay the rest. Medigap plans are outlined by the Centers for Medicare & Medicaid (CMS) and policies must have standard benefits. Insurance companies that offer Medigap, but comply with these standards.
Medigap Eligibility Requirement
Medigap coverage only works in conjunction with Original Medicare. You must have Medicare Part A and Medicare Part B. Medigap policies are individual policies, so if you are married, you and your spouse will need to purchase separate policies. It is also important to know that you cannot be enrolled in a Medicare Advantage Plan and a Medigap Plan at the same time.
Available Medigap Plans
Federal and state laws regulate Medigap policies. These laws are in place to protect you. Medigap policies have to be clearly labeled as Medicare Supplement Insurance Plans. In most states, you may be able to choose from up to ten different standardized policies types: Medigap Plans A, B, C, D, F, G, K, L, M, N.
Each Medigap plan offers a different set of basic and additional benefits and is standardized for every insurance carrier. Because benefits are the same for every insurance company, you do not want to overpay. Usually, the only difference between policies of the same letter sold by different insurance companies is the price.
Medigap Plans A-N
For more information, call us at the Medicare Store and ask for me, Chuck. I look forward to helping you!